pg. 1 NUR631-Advanced Health Assessment Test 1 Newest 2024 Questions with Correct Detailed Answers (Verified Answers) Graded A+
Which of the following changes are expected in vision as part of the normal aging process?
- Cataracts
- Glaucoma
- Macular degeneration
- Blurring of near vision - Correct Answer - D) Blurring of near vision
A 72-year-old retired truck driver comes to the clinic with his wife for evaluation of hearing loss. He has noticed some decreased ability to hear what his wife and grandchildren are saying to him. He admits to lip-reading more. He has a history of noise exposure in his young adult years: He worked as a sound engineer at a local arena and had to attend a lot of concerts. Based on this information, what is the most likely finding regarding his hearing acuity?
- Loss of acuity for middle-range sounds
- Increase of acuity for low-range sounds
- Loss of acuity for high-range sounds
- Increase of acuity for high-range sounds - Correct Answer - A) Loss of acuity for
middle-range sounds human speech is middle-range sound
The following information is recorded in the health history: "Patient denies chest pain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea." Which category does it belong to?
- Chief complaint
- Present illness 1 / 4
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- Personal and social history
- Review of systems - Correct Answer - D) review of systems
The following information is best placed in which category?"The patient has had three cesarean sections."
- Adult illnesses
- Surgeries
- Obstetrics/gynecology
- Psychiatric - Correct Answer - B) surgeries
The following information is best placed in which category?"The patient had a stent placed in the left anterior descending artery (LAD) in 1999."
- Adult illnesses
- Surgeries
- Obstetrics/gynecology
- Psychiatric - Correct Answer - A) adult illnesses
*a stent is a major procedure but does not involve a surgeon*
A patient presents for evaluation of a sharp, aching chest pain which increases with breathing. Which anatomic area would you localize the symptom to?
- Musculoskeletal
- Reproductive
- Urinary
- Endocrine - Correct Answer - A) musculoskeletal
A patient comes to the emergency room for evaluation of shortness of breath. To which anatomic region would you assign the symptom?
- Reproductive
- Urinary 2 / 4
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- Cardiac
- Hematologic - Correct Answer - C) cardiac
A patient presents for evaluation of a cough. Which of the following anatomic regions can be responsible for a cough?
- Ophthalmologic
- Auditory
- Cardiac
- Endocrine - Correct Answer - C) cardiac
A 22-year-old advertising copywriter presents for evaluation of joint pain. The pain is new, located in the wrists and fingers bilaterally, with some subjective fever. The patient denies a rash; she also denies recent travel or camping activities. She has a family history significant for rheumatoid arthritis. Based on this information, which of the following pathologic processes would be the most correct?
- Infectious
- Inflammatory
- Hematologic
- Traumatic - Correct Answer - B) inflammatory
A patient tells you about her experience with prolonged therapy for her breast cancer.You comment, "That must have been a very trying time for you." What is this an example of?
- Reassurance
- Empathy
- Summarization
- Validation - Correct Answer - D) validation
You are performing a young woman's first pelvic examination. You make sure to tell her verbally what is coming next and what to expect. Then you carry out each maneuver of the examination. You let her know at the outset that if she needs a break or wants to 3 / 4
pg. 4 stop, this is possible. You ask several times during the examination, "How are you doing, Brittney?" What are you accomplishing with these techniques?
- Increasing the patient's sense of control
- Increasing the patient's trust in you as a caregiver
- Decreasing her sense of vulnerability
- All of the above - Correct Answer - D) all of the above
When using an interpreter to facilitate an interview, where should the interpreter be positioned?
- Behind you, the examiner, so that the lips of the patient and the patient's nonverbal
- Next to the patient, so the examiner can maintain eye contact and observe the
- Between you and the patient so all parties can make the necessary observations
- In a corner of the room so as to provide minimal distraction to the interview - Correct
cues can be seen
nonverbal cues of the patient
Answer - B) next to the patient , so that the examiner can maintain eye contact and observe non verbal cues of the patient
- The following information is best placed in which category?
- Adult illnesses
- Surgeries
- Obstetrics/gynecology
- Psychiatric - Correct Answer - A) adult illnesses
"The patient was treated for an asthma exacerbation in the hospital last year; the patient has never been intubated."
A 47-year-old contractor presents for evaluation of neck pain, which has been intermittent for several years. He normally takes over-the-counter medications to ease the pain, but this time they haven't worked as well and he still has discomfort. He recently wallpapered the entire second floor in his house, which caused him great discomfort. The pain resolved with rest. He denies fever, chills, rash, upper respiratory symptoms, trauma, or injury to the neck. Based on this description, what is the most likely pathologic process?
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